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MARISSA ROSE MEZZATESTA PA-C
NPI 1376429241
Physician Assistant in Glendale, AZ

Active since August 14, 2025PECOS EnrolledAccepts Medicare Assignment
5310 W THUNDERBIRD RD STE 308, GLENDALE, AZ 85306(602) 462-0469 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Aug 14, 2025 (2 updates tracked since 2025).

About Marissa Rose Mezzatesta Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA ROSE MEZZATESTA PA-C (NPI 1376429241) is an individual physician assistant in Glendale, Arizona and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376429241
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA ROSE MEZZATESTACredential: PA-C
Location Address5310 W THUNDERBIRD RD STE 308Glendale, AZ 85306-4710
Mailing Address5310 W Thunderbird Rd Ste 308Glendale, AZ 85306-4710 · (602) 462-0469
Phone(602) 462-0469
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 14, 2025
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1376429241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5310 W THUNDERBIRD RD STE 308, Glendale, AZ 85306
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa Rose Mezzatesta Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870075047
PECOS Enrollment IDI20260305003810
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISON MCLELLAN PA-C
Physician Assistant
5310 W THUNDERBIRD RD STE 308
GLENDALE, AZ 85306
Maricopa County (623) 412-2229
SCOTT M GULINSON MD PC
Obstetrics & Gynecology (Obstetrics)
5310 W THUNDERBIRD RD STE 308
GLENDALE, AZ 85306
Maricopa County (623) 412-2229
DR. MICHAEL CONRAD BRYAN MD
Obstetrics & Gynecology
5310 W THUNDERBIRD RD STE 308
GLENDALE, AZ 85306
Maricopa County (623) 412-2229
MICHAEL BRYAN, MD FACOG PLLC
Obstetrics & Gynecology
5310 W THUNDERBIRD RD STE 308
GLENDALE, AZ 85306
Maricopa County (623) 412-2229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Mezzatesta's NPI number?

The NPI number for Marissa Mezzatesta is 1376429241. It was assigned to this individual provider in the NPPES registry on August 14, 2025.

Where is Marissa Mezzatesta located?

Marissa Mezzatesta practices at 5310 W Thunderbird Rd Ste 308, Glendale, AZ 85306. The listed phone number is (602) 462-0469.

What is Marissa Mezzatesta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marissa Mezzatesta enrolled in Medicare?

Yes. Marissa Mezzatesta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marissa Mezzatesta was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.